DR. LISA MEMMEL (NPI# 1386842300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386842300 |
| Entity Type | Individual |
| Full Name | DR. LISA MEMMEL |
| Credential | M.D. |
| Practice Address |
2800 W 87th St Suite 100 Chicago IL 60652-3831 |
| Mailing Address |
2800 W 95th St Evergreen Park IL 60805-2701 |
| Practice Telephone | 7738637537 |
| Mailing Telephone | 7082295385 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
036116173 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2800 W 87TH ST SUITE 100 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154423895 | Pamela Aguilor Cruz-carandang | Internal Medicine | 2800 W 87th St, Chicago, IL 60652-3831 | 2006-09-02 |
| 1538509658 | Michael Hwang | Optometrist | 2800 W 87th St, Chicago, IL 60652-3831 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104471622 | Mount Sinai Community Foundation Dba Sinai Medical Group | Obstetrics & Gynecology | 645 S Central Ave Fl 6, Chicago, IL 60644-5059 | 2019-08-02 |
| 1396100384 | Tatiana Araujo | Obstetrics & Gynecology | 1500 S Fairfield Ave Ste F-206, Chicago, IL 60608-1782 | 2015-12-18 |
| 1982982096 | Kanika Sood | Obstetrics & Gynecology | 26460 Network Pl, Chicago, IL 60673-1264 | 2011-07-25 |
| 1245433093 | Marko Lekovic, M.d.,s.c. | Obstetrics & Gynecology | 6433 Pulaski Road, Chicago, IL 60629 | 2007-06-08 |
| 1245454222 | V Greene Md PC | Obstetrics & Gynecology | 1322 E 47th St, Chicago, IL 60653-4508 | 2007-04-12 |
| 1659449106 | Somboon Sriaroon | Obstetrics & Gynecology | 2820 W Peterson Ave, Chicago, IL 60659-3803 | 2006-12-01 |
| 1427007582 | Melvin C Bunn | Obstetrics & Gynecology | 1135 E 87th St, Chicago, IL 60619-7011 | 2006-05-08 |
| 1871048058 | Annika Nilsen | Obstetrics & Gynecology | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2016-08-17 |
| 1881049666 | Tiphany Jackson | Obstetrics & Gynecology | 1701 W Superior St, Chicago, IL 60622-5646 | 2016-04-28 |
| 1558789826 | Raanan Alter | Obstetrics & Gynecology | 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 | 2014-04-02 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.